Job loss, financial strain, and housing problems as suicide precipitants: Associations with other life stressors

Choi, Namkee G.; Marti, Nathan; Choi, Bryan Y.

doi:10.1016/j.ssmph.2022.101243

Cited by 17 publications

(14 citation statements)

References 43 publications

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“…This study points to another potential risk factor: reduced family functioning. As men's ability to assume the corresponding role (economic provider) within and outside the family decreases after the mental health problems, it affects daily activities, emotional exchanges within the family, which may exacerbate emotional problems such as depressive episodes, thus increasing the risk of suicidal intention (Choi et al, 2022; Misiak et al, 2023).…”

Section: Discussionmentioning

confidence: 99%

The risk of suicidal intention in severe mental illness: An ecological perspective

Lin,

Wei,

Luo

et al. 2023

Psychol Psychother

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ObjectiveGuided by the ecosystem theory model framework, we aimed to explore the influence of three ecological dimensions (social, family and psychological factors) on suicidal intention in people with severe mental illness (SMI). We hypothesized that three factors influence suicidal intention, and that psychological factors may play a mediating role in the influence of social and family factors on suicidal intention.MethodsWe collected 994 patients with SMI aged 18 and above from May 2021 to March 2022 in the Fourth Hospital of Fuzhou City. We used logistic regression to analyse the association between social, family, psychological factors and suicidal intention. Furthermore, we explored the mediating effects among the influencing factors.ResultsYounger male patients with schizophrenia were more likely to have suicidal intention due to psychosocial family factors (p < .05). Social factors (poor interpersonal relations, social retreat, social activities outside the home), family factors (parental functions, activities within the family, family functions), psychological factors (anxiety, depression, interest in the outside world, overt aggression, lack of accountability and planning) were all independent risk factors for suicidal intention in patients. Mediation analysis showed anxiety and depression mediated the role of social and family factors on suicidal intention (p < .05).ConclusionSocial, family and psychological factors were important risk factors for suicidal intention, with anxiety and depression being partial mediators for suicidal intention. Therefore, interventions that enhance family and social functioning and reduce anxiety and depression may be effective in reducing suicidal intention in SMI.

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Section: Discussionmentioning

confidence: 99%

The risk of suicidal intention in severe mental illness: An ecological perspective

Lin,

Wei,

Luo

et al. 2023

Psychol Psychother

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“…The study’s key finding is that in all three age groups of older suicide decedents, PH was the predominant suicide precipitant. It is possible that PH became a more predominant suicide precipitant than other precipitants in these older decedents as older adults in general and especially those with serious health problems may have been disengaged from some life areas and associated stressors (e.g., job problems, criminal/legal problems, and alcohol use problems) ( Choi et al, 2022 ; Koo et al, 2017a , 2017b ).…”

Section: Discussionmentioning

confidence: 99%

“…Because suicide is often precipitated by multiple bio-psycho-social risk factors, PH-related suicides may also result from a combination of other life stressors such as interpersonal conflicts, financial and legal problems, loss and grief, psychiatric disorders, and alcohol and other substance use problems. For example, one study of U.S. adult suicide decedents showed that the rates of job loss, financial stress, and/or eviction as a suicide precipitant were higher in the 45–64 age group than in the younger or older age groups; however, these problems were still a precipitating factor for nearly 10% of decedents age 65+ ( Choi et al, 2022 ). More research is needed to better understand how other risk factors may be associated with PH in different age groups of U.S. older-adult suicide decedents.…”

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confidence: 99%

“…In the present study, based on the 2017–2019 NVDRS data, our research questions were whether or not three age groups (55–64, 65–74, and 75+) of older suicide decedents who had PH as a suicide precipitant may differ on (i) other suicide precipitants and psychiatric/substance use problems; and (ii) suicide methods (firearms, hanging/suffocation, and poisoning). Based on previous study findings on different types of suicide precipitants in different age groups ( Choi et al, 2019 , 2022 ; Koo et al, 2017a , 2017b ), the study hypotheses were that PH in the 65–74 and 75+ age groups than in the 55–64 age group would be associated with: ( H1 ) a lower likelihood of relationship problems, job/finance/housing problems, psychiatric disorder, and alcohol and substance use problems; and ( H2 ) a higher likelihood of firearm use but a lower likelihood of hanging/suffocation and poisoning. The study findings will provide more insight into older decedents whose suicide was in part precipitated by PH and empirical data needed for developing effective late-life suicide prevention approaches.…”

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confidence: 99%

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Physical Health Problems as a Suicide Precipitant: Associations With Other Risk Factors and Suicide Methods in Three Age Groups of Older Decedents

Choi

Marti

2023

Innovation in Aging

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Background and Objectives Physical health problems are a significant late-life suicide precipitant. This study’s purpose was to examine differences in (1) other suicide precipitants and psychiatric/substance use problems, and (2) suicide methods (firearms, hanging/suffocation, and poisoning) in three age groups (55-64, 65-74, and 75+) of older suicide decedents who had physical health problems as a suicide precipitant. Research Design and Methods Data came from the 2017-2019 U.S. National Violent Death Reporting System (N=34,912; 27,761 males [79.5%] and 7,151 females [20.5%]). Generalized linear models for a Poisson distribution with a log link were used to examine the study questions. Results Physical health problems were a suicide precipitant for 25.8%, 41.9%, and 57.7% of the 55-64, 65-74, and 75+ age groups, respectively, and were associated with a higher likelihood of having had depressed mood (IRR=1.38, 95% CI=1.33-1.43) and other substance use problems (IRR=1.22, 95% CI=1.13-1.31). Interaction effects showed that when job/finance/housing problems, depressed mood, or any psychiatric disorders were co-present with physical health problems, the age group differences in the predicted rates of physical health problems were diminished. Physical health problems were also positively associated with firearm and poisoning use, but negatively associated with hanging/suffocation. Interaction effects indicated that the predicted rates of firearm and poisoning uses significantly increased among those age 55-64 with than without physical health problems. Discussion and Implications In all three age groups of older suicide decedents, physical health problems were the predominant suicide precipitant, and those with physical health problems had elevated depressed mood. Assessment of suicide risk, affordable and accessible health and mental health services, restriction of access to lethal suicide methods, and policy-based suicide prevention approaches for older adults with physical health problems are needed.

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“…The rapid process of socialization, as well as the unique Chinese traditional cultural background and policies ( 24 , 25 ), have had some impact on changes in suicide rates among adolescents ( 26 , 27 ). There is accumulated evidence that the prevalence rates and mortality of SSIRBs are on the rise ( 28–30 ).…”

Section: Introductionmentioning

confidence: 99%

Psychosocial interventions for suicidal and self-injurious-related behaviors among adolescents: a systematic review and meta-analysis of Chinese practices

Lu,

Gao,

Wang

et al. 2023

Front. Public Health

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BackgroundSuicidal and self-injurious-related behaviors (SSIRBs) are a serious public health challenge in China. However, a comprehensive systematic review of psychosocial interventions for SSIRBs among Chinese adolescents has not been performed. To fill this gap, this systematic review and meta-analysis aimed to examine psychosocial interventions for SSIRBs among Chinese adolescents.MethodsEight international (PubMed, EMBASE, Cochrane Library, ScienceDirect, Clinical Trial, CINAHL, PsycINFO, and Web of Science) and four Chinese (Wanfang, SinoMed, CEPS, and CNKI) databases were searched from inception to 31 January 2023. Data extraction and quality assessment were independently conducted by two groups of researchers. Qualitative synthesis and meta-analysis were both used.ResultsThe initial search yielded 16,872 titles. Of the 649 full texts reviewed, 19 intervention articles focusing on SSIRBs met the inclusion criteria. Thirteen out of the 19 included studies involved cognitive–behavioral therapy (CBT). Seven non-suicidal self-injury (NSSI) studies assessing self-injurious behaviors were included (six short-term studies and three long-term studies). Compared with long-term interventions [−1.30 (95% CI: –1.84, −0.76)], short-term psychosocial interventions had a higher standardized mean difference (SMD) value [1.86 (95% CI: –2.72, −0.99)]. Meta-regression showed an inverse relationship between the treatment response and sample size (slope = 0.068, Z = 2.914, p = 0.004) and proportion of females (slope = 1.096, Z = 5.848, p < 0.001). Subgroup analyses showed that compared with the “less than 1 month” group [−0.494 (−0.783, −0.205)], in the “immediate postintervention” group, the pooled estimate was significantly lower [−2.800 (−4.050, −1.550), p < 0.001].ConclusionOur review systematically summarized the key characteristics and effectiveness of existing psychosocial interventions for SSIRBs among Chinese adolescents. Short-term psychosocial interventions for NSSI were significantly effective in reducing self-injurious behavior scores, especially in the immediate postintervention period. More favorable treatment responses could be observed in both male and small samples.

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Job loss, financial strain, and housing problems as suicide precipitants: Associations with other life stressors

Cited by 17 publications

References 43 publications

The risk of suicidal intention in severe mental illness: An ecological perspective

The risk of suicidal intention in severe mental illness: An ecological perspective

Physical Health Problems as a Suicide Precipitant: Associations With Other Risk Factors and Suicide Methods in Three Age Groups of Older Decedents

Psychosocial interventions for suicidal and self-injurious-related behaviors among adolescents: a systematic review and meta-analysis of Chinese practices

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